Active NPI
One Source Surgical Supplies LLC
Doing business as White Plains Surgical
- Durable Medical Equipment & Medical Supplies
- White Plains, NY
National Provider Identifier
1619541901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- ONE SOURCE SURGICAL SUPPLIES LLC
- Doing business as
- White Plains Surgical
- Practice address
- 1 Winchester Rd
White Plains, NY 10601 - Phone
- (914) 948-4878
- Fax
- (866) 486-4959
- NPI assigned
- May 19, 2021
- Last updated
- Jan 5, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jayant K Thaker, R.PH.
- Title
- Chief Executive Officer
- Phone
- (914) 948-4878
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NU | Primary | |
| Nursing Facility Supplies (DME) | 332BN1400X | NU | ||
| Oxygen Equipment & Supplies (DME) | 332BX2000X | NU |
Addresses
Primary practice location
1 Winchester Rd
White Plains, NY 10601
Mailing address
PO Box 72
White Plains, NY 10602-0072
Phone (914) 948-4878
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 769733 | Other | NY | ANCILLARY PROVIDER |
Other names 1
- White Plains Surgical
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | www.whiteplainssurgical.com | Health Information Exchange (HIE) |
National Provider Directory
National Provider DirectoryLocations
125 E Main St
Elmsford, NY 10523
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621382400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1767571200000",
"number": "1619541901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 72",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "106020072",
"telephone_number": "914-948-4878",
"fax_number": "866-486-4959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 WINCHESTER RD",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "10601",
"telephone_number": "914-948-4878",
"fax_number": "866-486-4959"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ONE SOURCE SURGICAL SUPPLIES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-05-19",
"last_updated": "2026-01-05",
"certification_date": "2026-01-05",
"status": "A",
"authorized_official_last_name": "THAKER",
"authorized_official_first_name": "JAYANT",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "914-948-4878",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "R.PH."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "332BN1400X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANCILLARY PROVIDER",
"identifier": "769733",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "www.whiteplainssurgical.com",
"affiliation": "N",
"endpointDescription": "www.whiteplainssurgical.com",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "125 E Main St",
"city": "Elmsford",
"state": "NY",
"country_code": "US",
"postal_code": "105233217",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "White Plains Surgical",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in White Plains, NY
- Oncology & Hematology of White Plains
- Oncology & Hematology of White Plains, PLLC
- Oncology and Hematology of White Plains, PLLC
- One Source Homecare Supplies Inc. (One Source Homecare Pharmacy)
- One Source Infusion Center LLC (Serene Infusion Center)
- Liz Oommen, PHARM D.
- Emmanuel Oppong-Danquah, PA
- Doreen Oppong
- Anthony Bacus Oppus, PT
- Optima Care White Plains LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.